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Form 137-E (Revised 2016) Republika ng Pilipinas

(Republic of the Philippines)


Kagawaran ng Edukasyon
(Department of Education)
Rehiyon X
(Region 10)
SANGAY NG CAGAYAN DE ORO CITY
(DIVISION OF CAGAYAN DE ORO CITY)
PALAGIANG TALAAN SA PAARALANG ELEMENTARYA
(ELEMENTARY SCHOOL PERMANENT RECORD)
LRN:
Pangalan Sangay Cagayan de Oro City Paaralan:
(Name) Apelyido Unang Pangalan M.I. (Division)

Kasarian Petsa ng Kapanganakan Pook Petsa ng Pagpasok


(Sex) (Date of Birth) (Place)Bayan/Lalawigan/Lungsod
(Town/Province/City)
Magulang/Tagapag-alaga
(Parent / Guardian) Pangalan Tirahan Han
(Name) (Address) (Oc

PAG-UNLAD SA PAARALANG ELEMENTARYA


(ELEMENTARY SCHOOL PROGRESS)
Kindergarten - School
School Year Kindergarten Rating Scale
Periodic Rating Rating Indicators
Learning Areas Final Rating
1 2 3 4 Rarely demonstrates the expected com
Health, Well-Being & Motor Development Rarely participates in class activities an
Beginning (B)
Socioemotional Development independent works
Language, Literacy & Communication Shows interest in doing tasks but needs c
*Listening and Viewing Sometimes demonstrates the comp
*Speaking Developing (D) Sometimes participates, minimal su
*Reading Progresses continuously in doing as
*Writing Always demonstrates the expected
Mathematics Always participates in the different a
Consistent (C)
Understanding the Physical and Independently
Natural Environment Always performs task, advanced in

Eligible for Admission to Grade

Grade I - School Grade II - School


School Year School Year

Periodic Rating Final Periodic Rating


Learning Areas 1 2 3 4 Rating
Remarks Learning Areas 1 2
Mother Tongue Mother Tongue
Filipino Filipino
English English
Mathematics Mathematics
Araling Panlipunan Araling Panlipunan
Edukasyon sa Pagpapakatao Edukasyon sa Pagpapakatao
MAPEH MAPEH
*Music *Music
*Art *Art
*Physical Education *Physical Education
*Health *Health
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade III - School Grade IV - School


School Year School Year

Periodic Rating Final Periodic Rating


Learning Areas Rating
Remarks Learning Areas
1 2 3 4 1 2
Mother Tongue Filipino
Filipino English
English Mathematics
Mathematics Science
Science Araling Panlipunan
Edukasyon (AP)
sa Pagpapakatao
Araling Panlipunan (AP) (EsP)
Edukasyon sa Pagpapakatao Edukasyong Pantahanan at
(EsP) Pangkabuhayan (EPP)
MAPEH MAPEH
*Music *Music
*Art *Art
*Physical Education *Physical Education
*Health *Health
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade

Grade V - School Grade VI - School


School Year School Year

Periodic Rating Final Periodic Rating


Learning Areas Rating
Remarks Learning Areas
1 2 3 4 1 2
Filipino Filipino
English English
Mathematics Mathematics
Science Science
Araling Panlipunan
Edukasyon (AP)
sa Pagpapakatao Araling Panlipunan
Edukasyon (AP)
sa Pagpapakatao
(EsP) (EsP)
Edukaskong Pantahanan at Edukasyong Pantahanan at
Pangkabuhayan (EPP) Pangkabuhayan (EPP)
MAPEH MAPEH
*Music *Music
*Art *Art
*Physical Education *Physical Education
*Health *Health
General Average General Average
Eligible for Admission to Grade Eligible for Admission to Grade
publika ng Pilipinas
blic of the Philippines)
waran ng Edukasyon
artment of Education)
Rehiyon X
(Region 10)
CAGAYAN DE ORO CITY
F CAGAYAN DE ORO CITY)
SA PAARALANG ELEMENTARYA
SCHOOL PERMANENT RECORD)

(School)

Petsa ng Pagpasok
(Date of Entrance)

Hanapbuhay
(Occupation)

PAARALANG ELEMENTARYA
TARY SCHOOL PROGRESS)

Kindergarten Rating Scale


Indicators
Rarely demonstrates the expected competency
Rarely participates in class activities and/or initiates
independent works
Shows interest in doing tasks but needs close supervision
Sometimes demonstrates the compentency
Sometimes participates, minimal supervision
Progresses continuously in doing assigned tasks
Always demonstrates the expected competency
Always participates in the different activities, works
Independently
Always performs task, advanced in some aspects

Periodic Rating Final


3 4 Remarks
Rating

Periodic Rating Final


Remarks
3 4 Rating

Periodic Rating Final


Remarks
3 4 Rating
III. CHARACTER BUILDING ACTIVITIES

K. Sch. Yr. Gr. Sch. Yr.


CORE VALUES CORE VALUES
1 2 3 4 1 2 3 4 F.R.
MAKA-DIYOS MAKA-KALIKASAN
Expresses one's spiritual beliefs while
Cares for the environment and utilizes
respecting the spiritual beliefs of others. resources wisely, judiciously, and
Shows adherence to ethical principles by economic-ally.
upholding the truth. MAKA-BANSA
MAKATAO Demonstrates pride in being a
Is sensitive to individual, social and cultural Filipino;excersise the rights and
differences. responsibilities of a Filipino citizen.
Demonstrates constributions toward solidarity Demonstrates appropriate behavior in
carrying out activities in school,
community, and country.

Gr. Sch. Yr. Gr. Sch. Yr. Gr. Sch. Yr.


CORE VALUES
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
MAKA-DIYOS
Expresses one's spiritual beliefs while

respecting the spiritual beliefs of others.


Shows adherence to ethical principles by
upholding the truth.
MAKATAO
Is sensitive to individual, social and cultural
differences.
Demonstrates constributions toward solidarity
MAKA-KALIKASAN
Cares for the environment and utilizes
resources wisely, judiciously, and economic-
ally.
MAKA-BANSA
Demonstrates pride in being a Filipino;
excersise the rights and responsibilities of a
Filipino citizen.
Demonstrates appropriate behavior in carrying
out activities in school, community, and country.
Gr. Sch. Yr. Gr. Sch. Yr. Gr. Sch. Yr.
CORE VALUES
1 2 3 4 F.R. 1 2 3 4 F.R. 1 2 3 4 F.R.
MAKA-DIYOS
Expresses one's spiritual beliefs while

respecting the spiritual beliefs of others.


Shows adherence to ethical principles by
upholding the truth.
MAKATAO
Is sensitive to individual, social and cultural
differences.
Demonstrates constributions toward solidarity
MAKA-KALIKASAN
Cares for the environment and utilizes
resources wisely, judiciously, and economic-
ally.
MAKA-BANSA
Demonstrates pride in being a Filipino;
excersise the rights and responsibilities of a
Filipino citizen.
Demonstrates appropriate behavior in carrying
out activities in school, community, and country.
AO - Always Observed RO - Rarely Observed
SO - Sometimes Observed NO - Not Observed
IV. ATTENDANCE RECORD
No. of
No. of School No. of Schoo
Grade No. of School Days Cause Times Cause
Days Absent Days Present
Tardy

CERTIFICATE OF TRANSFER
TO WHOM IT MAY CONCERN:
This is to certtify that this is the true record of the Elementary School Permanent record of
. He/She is eligible for
. transfer and admission to Grade/Year
Signature

Date Designation
F.R.

F.R.

F.R.

No. of School
Days Present

E OF TRANSFER

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